Kushandiswa kwepeek muArthroscopy

Arthroscopy iri zvishoma kusanzwisisika kwekuvhiya maitiro ayo akapanduka kugadziriswa kwema tendon, ligaments, uye mamwe matishu akapfava. Arthroscopy anodonhedza madhiri ekuwana uye anoshandisa endoscope kana kamera diki uye seti yezviridzwa zvidiki zvekurapa mukati mejoini. Izvi zviridzwa zvinopihwa kuburikidza neseti yezvikamu zvidiki zveanenge 1 cm.

Pamberi pekushandiswa kwehunyanzvi uhwu, zvese zvinyoro-nyoro zvigadziriso zvakaitwa kuburikidza nekuvhurika kana mini-yakavhurika kuratidzwa. Zvinobatsira zveAnthroscopic maitiro zvinosanganisira kukosha kwakakura mukurwadziwa uye kwekuvhiya site matambudziko anowanzopfuurira kwenguva refu mushure mekugadziriswa kwemitsipa uye tendon dzakapora.

Kunyangwe varapi vekurapa vanoitwa kuti vagadziriswe zvakabvaruka kana kuti vakakuvadzwa menisci uye anterior cruces ligaments kuti vashandiswe mumapfudzi akaona kukura kwakasimba mukuvandudzwa kweBiomatir.

Suture anchors anchors anchaments, tendon, uye majoini emakapu kune pfupa, achibatsira kushandura kuvhiyiwa kwakashama kuArthroscopic maitiro eArthroscopic. Anchors akamiswa mufuma uye akabata mapepa akapfava kufuma ine nzara yakapfuura nepakati pemakomba madiki mune pfupa.

Dzimwe dzekuvhiya zvakanyanya dzichishandisa suture anchors comer Kufunga nezve mapfudzi chete ekushandisa, zvimbudzi zvinoonekwa sekusavhurika kukuru mukuvhiya kwefudzi.

Chizvarwa chekutanga chehurefu hweArthroscopic zvishandiso zvinoshandiswa simbi uye titanium anchors, zvese zvatakakundikana zvakanyanya nekuda kwekuputsa kwemba mumba madiki mune simbi. Zvinetso zvakadai sekusunungura, kudzingwa, cartilage kukuvara, kuoma mukudzokorora kuvhiyiwa, uye kupindira nemagineti yekufungidzira inogona kuitika.

Kuti ubvise njodzi yekuisa kutama uye kuderedza njodzi yekukuvara cartilage kukuvara, kwave nekuchinja kwakananga kushandiswa kwekushandiswa kweBioabsorbable Anchors. Bioabsorbable anchors yakagadzirirwa kuchengetedza iyo Tendon kune pfupa uye ndedzipi dzinobviswa zvishoma nezvishoma kuburikidza nenzira yemuviri yemuviri kuburikidza ne metabolic kuya.

Vanokwana makumi mana vaPolylable Polymers vanokudziridzwa, senge polyglycolic acid (pga), placcecic acid , Synovitis, kusimbisa kupatsanurana, uye kukuvara kwe cartilage.

Iko kutarisisa kweAnchor Dhizaini ndeyekutsvaga zvinhu zvakakodzera izvo zvinobvumira iyo anchor kuti ishandiswe kusvika pakupora kwematehwe. Peek yashandiswa muhutsinye zasi kweanopfuura makore gumi, uye kushandiswa kwayo kunogona kuderedza zvimwe zvevasina kunaka uye bioabsorbable anchors.

Peek yakasimba asi inochinja, saka inogona kuunza kubatwa kwakafanana kwesimbi midziyo, asi inotakura njodzi yechitatu-muviri kupfeka inokonzeresa arthrosis kana kubatana mushure mekuparadzaniswa. Kumwe kubatsirwa kwekunyorova kwayo ndekwekuti kunogona kubikwa kuburikidza kana kuvhiya kwekudzokorora kunodiwa.

Peek zvakare zvakare radiologcent, kubvisa zvigadzirwa muCT Peek ine njodzi shangu yePinhole pane bioabsorbable polymers uye inobvisa kunetseka pamusoro pekusvibiswa kwekutanga uye kudhonzwa.

Shandisa Sangano rakafanana nekushanda kwechikepe, peek rakashandiswa sedanda rekupindira reTenoDesis uye kugadziriswa kwechibereko chechidimbu Yakabatanidzwa mune mamwe mitsara yechigadzirwa.

Kukanganisirwa zviyero zvakanyanyisa kupfumiswa-mhando-mhando zvishandiso zvinoshandiswa kugadzira autologous kana allogeneic nyoro tishu kuti ugamuchire pfupa. Zvekupindira zviyero, madhiragi akafanana ehunyanzvi aripo

Kudhirowa pane zvakangofanana zvakakwaniridzwa neyekufuka zvipfupi zvipfupi zveshuwa, akasiyana-siyana emapepa ekuvhiringidza mapepa anowanikwa parizvino.

Mumakore achangopfuura, tsvarhurumende yekiriniki pane zvimhizha zvevashu zvishoma nezvishoma zvakawedzera zvishoma nezvishoma. Izvi zvinotevera mamiriro chaiwo mune zvinoverengeka zvikamu:

Rotator cuff kukuvara: rotator cuff kukuvara ndeimwe yenzvimbo huru dzechiriniki application yekunyora kwepeek. Zvidzidzo zvakaratidza kuti manyorerwo emaoko ane zvimisikidzo zviri nani uye kuti azokoresere pane zvesimbi masokisi, uye hazvizokonzere kuita majoini uye kukuvadza kune matishu akatenderedza rotator cuff. Kutongwa kwakadzivirirwa kwevarwere 48 varwere vane rotor kukuvara kwakaratidza kuti maruva eboka rezvimisikidzwa neboka rezvematongerwo enyika.

HIP kuderedza kuvhiya: Peek anchor inogona zvakare kushandiswa kune hip kuderedzwa kwehudyu. Kuverengera kwevarwere makumi mashanu neshanu kuchiratidza kuti kuvhiya kwehudyu kwakaratidza kuti kushandurirwa kwehupombwe panguva yekuvhiya kwaive kwakachengeteka uye kwakavimbika.

Pediatric Kuvhiya: Zvimhizha zvepek zvinogona zvakare kushandiswa muPediatric kuvhiyiwa. Zvidzidzo zvakaratidza kuti vhudzi renyama havangove nekugona kumwechete kwekugadzirisa sesimbi simbi, asi zvakare kuderedza kurwadziwa uye kusagadzikana mushure mekuvhiyiwa kwevana.

Zvishoma zvinosangana neArthroscopic tekinoroji yakaomhanyirisa zvinyoro nyoro kugadzirisa, uye huwandu hwearthoscopic kuvhiya kwakawedzera zvakanyanya mumakore apfuura. Suture anchor dhizaini yakamuka nekukurumidza, ine zvigadzirwa zvitsva zvakadai sekushambadzira uye zvakarereka midziyo inopa mabhenefiti akawanda anoshanda ekugadzirisa uye kupora.

Peek for Arthroscopic anchoring inopa akawanda mabhenefiti anogona kuenzaniswa nemazwi esimbi uye bioabsorbable zvimbudzi, kusanganisira kusanganiswa kwesimba rakakura, kupfava, uye radioulaboligine, uye radioulaucency.

Kutora zvibodzwa izvi zvakanakira, peek zvinoshandiswawo kupindira nemakonzo kugadzirisa zvinyoro nyoro. Kunyangwe manyorerwo ekiraki ane yakanaka bioopink uye kugadzikana, kutarisirwa kunofanirwa kutorwa kuti udzivise matambudziko akadai sekupera simba uye kupwanya panguva yekushandisa inoshanda.

Uye zvakare, nguva refu yemidziyo yezvinhu zvinonyadzisa zvinoda kuwedzera kutevedzera kwenguva refu uye yakakura-sampuli yekiriniki yekuwedzera kuenderera mberi.